Individual provider Active NPI

Shana N Pinkerman, LICDC

  • Addiction (Substance Use Disorder) Counselor
  • Ironton, OH
National Provider Identifier
1043877673
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LICDC.162958 Issued in OH
Practice address
2727 S 3Rd St
Ironton, OH 45638-2760
Phone
(740) 534-2100
NPI assigned
May 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X LCDCIII.162413 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.162958 OH Primary

Addresses

Primary practice location

2727 S 3Rd St
Ironton, OH 45638-2760

Mailing address

2727 S 3Rd St
Ironton, OH 45638-2760
Phone (740) 534-2100

Other practice location 1

104 E Main St
Newark, OH 43055-5651
Phone (740) 534-2939

Other practice location 2

604 4th St E
South Point, OH 45680-9113
Phone (740) 534-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCDCIII.162413OHMDCounselor
LICDC.162958OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Deeds Family Vision Care Inc. Multi-Specialty Past Accepting new patients
Bethesda Services LLC Addiction (Substance Use Disorder) PastSince Aug 1, 2024 Accepting new patients
Bethesda Services LLC PastSince Mar 24, 2025 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/bethesdaservicesllc/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1043877673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 S 3RD ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382760",
            "telephone_number": "740-534-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 S 3RD ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382760",
            "telephone_number": "740-534-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 E Main St",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "OH",
            "postal_code": "430555651",
            "country_code": "US",
            "telephone_number": "740-534-2939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "604 4th St E",
            "address_purpose": "LOCATION",
            "city": "South Point",
            "state": "OH",
            "postal_code": "456809113",
            "country_code": "US",
            "telephone_number": "740-534-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINKERMAN",
        "first_name": "SHANA",
        "middle_name": "N",
        "credential": "LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "OH",
            "license": "LCDCIII.162413",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ironton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.